The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China

Abstract Background Loneliness is a growing public health problem worldwide that can affect mental and emotional health and increase mortality. This study examined the relationship between body mass index (BMI), body image flexibility, body appreciation, and loneliness among Chinese workers, aiming...

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Main Authors: Juncheng Zhao, Chunmei Wu, Yanfang Gao, Ming Hao, Xiaokang Zhang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22640-4
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author Juncheng Zhao
Chunmei Wu
Yanfang Gao
Ming Hao
Xiaokang Zhang
author_facet Juncheng Zhao
Chunmei Wu
Yanfang Gao
Ming Hao
Xiaokang Zhang
author_sort Juncheng Zhao
collection DOAJ
description Abstract Background Loneliness is a growing public health problem worldwide that can affect mental and emotional health and increase mortality. This study examined the relationship between body mass index (BMI), body image flexibility, body appreciation, and loneliness among Chinese workers, aiming to propose effective measures for reducing loneliness and promoting mental health. Methods A total of 464 workers were recruited for this study. Participants completed the Chinese version of the Body Image Acceptance and Action Questionnaire, the BMI measure, a Standard Chinese translation of the Body Appreciation Scale, and the Chinese version of the short-form UCLA Loneliness Scale (ULS-8). Statistical analyses were performed using SPSS. Results There were gender differences in body appreciation and body image flexibility scores were observed. Loneliness levels were higher among female workers than male workers. Male workers scored higher than female workers in body appreciation. Female workers scored significantly higher than male workers in body image flexibility and loneliness. Based on multiple regression analyses of the factors affecting loneliness scores, body image flexibility score (β = -0.19, p < 0.01) and body appreciation score (β = -0.25, p < 0.01) were significant predictors of loneliness. Conclusion As middle-aged individuals exhibit higher levels of loneliness. Policymakers should prioritize workplace mental health programs that combine body positivity workshops, sleep hygiene education, and peer support networks. For example, incorporating body image flexibility training into existing employee wellness programs to reduce isolation. In addition, public campaigns to combat weight stigma, such as media literacy programs, are urgently needed to address the social factors that contribute to loneliness.
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spelling doaj-art-4207dbcfd23a4ab6b779d0d68a518cbd2025-08-20T02:11:49ZengBMCBMC Public Health1471-24582025-04-012511810.1186/s12889-025-22640-4The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern ChinaJuncheng Zhao0Chunmei Wu1Yanfang Gao2Ming Hao3Xiaokang Zhang4School of Public Health and Health Management, Gannan Medical UniversitySchool of Public Health and Health Management, Gannan Medical UniversitySchool of Public Health and Health Management, Gannan Medical UniversitySchool of Public Health and Health Management, Gannan Medical UniversitySchool of Public Health and Health Management, Gannan Medical UniversityAbstract Background Loneliness is a growing public health problem worldwide that can affect mental and emotional health and increase mortality. This study examined the relationship between body mass index (BMI), body image flexibility, body appreciation, and loneliness among Chinese workers, aiming to propose effective measures for reducing loneliness and promoting mental health. Methods A total of 464 workers were recruited for this study. Participants completed the Chinese version of the Body Image Acceptance and Action Questionnaire, the BMI measure, a Standard Chinese translation of the Body Appreciation Scale, and the Chinese version of the short-form UCLA Loneliness Scale (ULS-8). Statistical analyses were performed using SPSS. Results There were gender differences in body appreciation and body image flexibility scores were observed. Loneliness levels were higher among female workers than male workers. Male workers scored higher than female workers in body appreciation. Female workers scored significantly higher than male workers in body image flexibility and loneliness. Based on multiple regression analyses of the factors affecting loneliness scores, body image flexibility score (β = -0.19, p < 0.01) and body appreciation score (β = -0.25, p < 0.01) were significant predictors of loneliness. Conclusion As middle-aged individuals exhibit higher levels of loneliness. Policymakers should prioritize workplace mental health programs that combine body positivity workshops, sleep hygiene education, and peer support networks. For example, incorporating body image flexibility training into existing employee wellness programs to reduce isolation. In addition, public campaigns to combat weight stigma, such as media literacy programs, are urgently needed to address the social factors that contribute to loneliness.https://doi.org/10.1186/s12889-025-22640-4BMILonelinessBody appreciationBody image flexibility
spellingShingle Juncheng Zhao
Chunmei Wu
Yanfang Gao
Ming Hao
Xiaokang Zhang
The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
BMC Public Health
BMI
Loneliness
Body appreciation
Body image flexibility
title The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
title_full The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
title_fullStr The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
title_full_unstemmed The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
title_short The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China
title_sort associations between bmi body appreciation body image flexibility sleep duration and loneliness in workers in southern china
topic BMI
Loneliness
Body appreciation
Body image flexibility
url https://doi.org/10.1186/s12889-025-22640-4
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